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1.
Pan Afr Med J ; 39: 159, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34539956

RESUMO

COVID-19 pandemic has posed huge challenges for the health system in Africa; however they haven´t been well quantified. The purpose of this study was to assess the impact of COVID-19 pandemic on curative and preventive activities in health care facilities at 17 integrated health centers in Niamey by comparing the first half of 2020 and the first half of 2019. The differences were more pronounced in the second quarter of 2020, with a 34% reduction (95% CI: -47% to -21%) for curative care, 61% (95% CI: -74% to -48%) for pentavalent vaccines 1 and 3 and 36% (95% CI: -49% to -23%) for VAR 1. A nearly zero gain of 1% (95% IC: -2% to 4%) was reported for prenatal care attendance, thus reversing the gains of the first quarter. The COVID-19 pandemic has had negative effects on service deliveries to the most vulnerable groups, such as women and children. New strategies, such as community engagement, are essential.


Assuntos
COVID-19 , Atenção à Saúde/organização & administração , Criança , Atenção à Saúde/tendências , Feminino , Humanos , Níger , Gravidez , Cuidado Pré-Natal/estatística & dados numéricos , Estudos Retrospectivos , Populações Vulneráveis
2.
Vaccine ; 34(43): 5199-5202, 2016 10 10.
Artigo em Inglês | MEDLINE | ID: mdl-27364094

RESUMO

INTRODUCTION: Vitamin A deficiency is a public health problem that affects children across the WHO African Region. Countries have integrated vitamin A supplementation in different child health interventions, most notably with polio campaigns. The integration of vitamin A in polio campaigns was documented as a best practice in Angola, Chad, Cote d'Ivoire, Tanzania, and Togo. There are potential risks to vitamin A supplementation associated with the polio endgame and certification in the African Region. METHODS: We reviewed the findings from the documentation of best practices assessment that was conducted by the WHO Regional Office for Africa in 2014 and 2015 in the five countries that noted integration of vitamin A with polio as a best practice. In addition, we reviewed the coverage rates for oral poliovirus vaccine and vitamin A supplementation in Angola, Chad, Cote d'Ivoire, Tanzania, and Togo in 2014 and 2015. RESULTS: Vitamin A deficiency in 2004 ranged from 35% in Togo to as high as 55% in Angola. All five countries integrated vitamin A supplementation in at least one campaign in 2013-2014 and all achieved over 80% coverage for vitamin A supplementation when it was integrated with polio. DISCUSSION: Given the progress of the polio program, and decreasing campaigns, there is a risk that fewer children will be reached each year with vitamin A supplementation. We recommend that for countries strengthen the integration of vitamin A supplementation with routine immunization services.


Assuntos
Programas de Imunização , Deficiência de Vitamina A/prevenção & controle , Vitamina A/administração & dosagem , África/epidemiologia , Criança , Humanos , Lactente , Poliomielite/prevenção & controle , Vacina Antipólio Oral/administração & dosagem , Guias de Prática Clínica como Assunto , Tanzânia/epidemiologia , Togo/epidemiologia , Deficiência de Vitamina A/epidemiologia , Organização Mundial da Saúde
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